Optometric Specialty Group Limited Liability Company | |
77 S Main St, West Hartford, CT 06107-2404 | |
(860) 236-1218 | |
Not Available |
Full Name | Optometric Specialty Group Limited Liability Company |
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Type | Facility |
Speciality | Optometrist |
Location | 77 S Main St, West Hartford, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1184717365 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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152W00000X | Optometrist | 02448 (Connecticut) | Primary |
Provider Name | Peter Pegolo |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1184733255 PECOS PAC ID: 2668470220 Enrollment ID: I20061116000109 |
Provider Name | Nicole A Colasurdo |
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Provider Type | Practitioner - Optometry |
Provider Identifiers | NPI Number: 1215229273 PECOS PAC ID: 5991942708 Enrollment ID: I20130516000035 |
Mailing Address | Practice Location Address |
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Optometric Specialty Group Limited Liability Company 77 S Main St, West Hartford, CT 06107-2404 Ph: (860) 236-1218 | Optometric Specialty Group Limited Liability Company 77 S Main St, West Hartford, CT 06107-2404 Ph: (860) 236-1218 |
Meghan Corkery, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 17 S Main St, West Hartford, CT 06107 Phone: 860-231-8482 Fax: 860-231-8791 | |
Dr. Michael S Cooper, O.D. Optometrist Medicare: Medicare Enrolled Practice Location: 1013 Farmington Ave, West Hartford, CT 06107 Phone: 860-233-2020 Fax: 860-236-4979 | |
Trimble Vision Services, Llc Optometrist Medicare: Medicare Enrolled Practice Location: 355 N Main St, West Hartford, CT 06117 Phone: 860-233-2668 Fax: 860-236-4293 | |
Dr. Charlene Marie Chateauneuf, O.D. Optometrist Medicare: Accepting Medicare Assignments Practice Location: 1013 Farmington Ave, West Hartford, CT 06107 Phone: 860-233-2020 Fax: 860-236-4979 | |
Crystal Vision West Hartford Llc. Optometrist Medicare: Not Enrolled in Medicare Practice Location: 64 Raymond Rd, Suite170, West Hartford, CT 06107 Phone: 860-442-0380 | |
Peter Pegolo, OD Optometrist Medicare: Accepting Medicare Assignments Practice Location: 612 Quaker Ln S, Suite B, West Hartford, CT 06110 Phone: 860-236-1218 Fax: 860-231-9298 |